THE REHABILITATION METHODS ANALYSIS OF PATIENTS AFTER CHOLECYSTECTOMY AT THE REMOTE STAGE OF REHABILITATION IN THE DEPARTMENT “LAVENDER” AT SANATORIUM-RESORT COMPLEX “MORSHYNKURORT”

The aim of the study is to analyze the method of rehabilitation of patients after cholecystectomy at a remote stage of rehabilitation in the Department of Sanatorium "Lavender" of sanatorium-resort complex "Morshynkurort". Methods of research: analysis of methods of patient rehabilitation in the department "Lavender "of sanatorium-resort complex "Morshynkurort" during 2017 and 2018, methods of mathematical statistics, synthesis and analysis. At the Sanatorium Department "Lavender" 3753 patients have completed treatment during 2018, including 3057 (81.5%) patients with gastroenterological diseases. Three patients were contraindicated to the treatment and were discharged within 3 days. Most patients suffered from diseases of the biliary tract and liver, gastritis, peptic ulcer and duodenal ulcer. At the Sanatorium Department "Lavender", patients undergo rehabilitation in the subacute period after surgery on the digestive system (60 beds in the department). Standards of sanatorium and spa treatment of the department is made on the basis of "Recommended standards of sanatorium and spa treatment” editered by E.A. Kolesnyk, K.D. Babov, M.P. Drinkovsky (Kyiv. 2003); Methodical recommendations for spa treatment edited by Doctor of Medical Sciences, Professor M.V. Loboda, (Kyiv, 1998); and clinical protocols. The treatment period ranged from 18-24 days at the request of the patient. In 2018, 359 rehabilitation patients were discharged. 331 patients took medical baths (92.7%), 8.6 procedures per patient. There were performed 2833 baths. 179 patients took therapeutic showers, 1510 procedures were performed, 8.4 procedures per patient;In general, 50.1% of patients were enrolled. 3.6% of patients took a local rising shower and 5.6% took a Sharko shower, 97% were involved in physiotherapy. The most frequently prescribed was phytotherapy (47%), magnetotherapy (59.9%), laser therapy (10.6%), SKT (44.5%), inhalation (15.1%), phototherapy (9.5%), ultrasound therapy (19.9%), ozokerite treatment (24.6%), microclysis (67.5%), intestinal irrigation (8.4%), oxygen (25.5%). The total number of consultations by narrow specialists in 2018 is about 5515, (1.5per patient). 24257 appointments at the doctors were made, that is - 6.5 appointment per patient. Reflexology therapy is also functioning. The following therapeutic techniques are used: classic acupuncture, auriculotherapy, needles, Lyapko applicator, manual therapy. There is a dental office as well. The main criteria for the quality of rehabilitation were improvement of general well-being, disappearance of dyspeptic phenomena, pain, appetite disorders, stool disorders, abdominal pain at palpation, normalization of instrumental and laboratory tests. Conclusions. Personnel, natural, material resources and medical activity of the sanatorium "Lavender" of the sanatorium-resort complex "Morshynkurort" testifies to the great rehabilitation potential of this institution in various somatic diseases. However, in the light of reforms and innovations, it may be advisable to involve physicians in the rehabilitation process as well as physicians in the field of rehabilitation medicine, and to introduce a physical therapist instead of an LFK instructor to apply newer methods of physical therapy in the context of evidence-based medicine.